Lock, Theresa
Lock, Theresa is an individual health care provider with primary practice located at 16040 Christensen Rd Suite 209, Tukwila WA 98188-2934. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lock, Theresa can be contacted via phone (206) 328-8889.Contact Information
Primary practice address
16040 Christensen Rd Suite 209
Tukwila WA 98188-2934
Phone: (206) 328-8889
Fax: (206) 328-8884
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY00003514 | Washington |
Profile Details
| NPI number | 1659550671 |
|---|---|
| LBN Legal business name | Lock, Theresa |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2007 |
| Last updated | Sep 1st, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659550671 | NPPES |
| Washington | MEDICAID | 2012099 |
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